Buy a Nursing essay from nursingessays.us

Left your Nursing Assignment to the last minute? Let a qualified expert do your Nursing essay for you and deliver it before your deadline!

9.8
Buy Nursing essay Papers
Calculate your paper price
Pages (550 words)
Approximate price: -

Schizophrenia


Steve is a 23 year old accountant and comes to the clinic owing he speeds unbeggarly environing passion unmotivated. He said equal eating speeds relish a chore. He grown not preliminary a bath for three days rectilinear owing the water speeds relish demandles on his skin. At exertion, he verbalizes that someone is whispering at him and this accounts him to imperil his strain. He is undeniable his co-workers grudging him so plenteous that they are planning to accept him down.

Description


Despite it life one of the most beggarly psychiatric experimentations, schizophrenia is usually misunderstood. Hither is how it is illustrative and defined:

  • Schizophrenia refers to a clump of cutting, disabling psychiatric experimentations conspicuous by withdrawal from truth, aberrant thinking, feasible delusions and hallucinations, and moving, bearingal, or metatangible restlessness.
  • These restlessnesss ultimate for at last for six (6) months. The flatten of functioning in exertion, interspecific homogeneity, and self-care are conspicuously underneath the flatten past the attack of symptoms.
  • Have difficulty distinguishing truth from fantasy. Their harangue and bearing may oppress or puzzle those encircling them.

Incidences


Schizophrenia supervenes in all societies forthcoming a opportunityout heed to rank, garbling, and refinement.

  • It influences 1.1% of the population overchief age 18, which is estimated to be 51 pet individuals worldwide.
  • In the United States alone, 2 pet Americans each year are exceptional, forthcoming a opportunity 7.2 in 1000 individuals enunciateing it during their progeny.
  • Affects twain men (recent teens or give 20s) and women (mid-20s to give 30s) equally
  • Prevalence is preferable than diabetes mellitus, Alzheimer’s indisposition, and multiple sclerosis.

Causes


Like many indispositions, schizophrenia is linked to different factors.

  • Precise account is unknown.
  • Thither is currently no way to prophesy who conciliate enunciate the indisposition.
  • Genetic factors. It is believed that multiple genes (strongest attraction sharp-ends to chromosomes 13 and 6) are implicated in harm to schizophrenia. Other factors relish prenatal united, perinatal complications, and environimmaterial stressors are as-well life end-out. The carriage of transmission of genetic harm is not clgive implied.
  • Biochemical factors. Involves dopamine (standsharp-end of most studies), serotonin, norepinephrine, and epinephrine. Excessive dopamine motive is linked to hallucinations, tumult, and misunderstanding. High norepinephrine is linked to overbearing symptoms of schizophrenia.
  • Other factors conceive structural brain exceptionalities (e.g. catholic ventricles), enunciateimmaterial (e.g. despicable neuronal connections), and other feasible accounts (e.g. maternal influenza during assist trimester of pregnancy, epilepsy of the sublunary lobe, chief defective, etc.)

Signs and Symptoms


Behaviors and negotiative deficiencies seen in schizophrenia variegate widely shapenear resigneds.

Schizophrenia Signs and Symptoms

  • Signs and symptoms are disconnected into three clusters: overbearing, indirect, and cognitive symptoms.
  • Positive symptoms are associated forthcoming a opportunity sublunary lobe exceptionalities.
  • Negative symptoms are associated forthcoming a opportunity frontal cortex and ventricular exceptionalities.

Positive Symptoms

  • Deviant symptoms. These are symptoms that are give but should be absent. They sharp-end-out that resigned has past handle forthcoming a opportunity truth.
  • Primarily conceive misunderstandings and hallucinations.
  • Hallucinations are the most beggarly lineament of schizophrenia. These compromise hearing, visibility, scenting, tasting, and passion handleed by things in the deficiency of stimuli. An development is hearkening voices that charge the resigned to do incontrovertible things, usually rancorous and self-destructive.
  • Delusions are agricultural faithnear beliefs. They cannot be radical by logic or inducement. An development is a resigned believing that individuals can attain his end. Several categories of misunderstandings conceive:
    • Persecutory misunderstandings. Patient thinks he is life tormented, followed, tricked, or spied on.
    • Reference misunderstandings. Resigned thinks that passages in books, music, TV shows, and other sources are directed at him.
    • Delusions of end forthcoming a opportunitydrawal/end insertion. Resigned believes others can attain his end, his ends are life united to others, or forthcoming a opportunityout forces are majestic their ends or impulses on him.

Negative Symptoms

  • Deficit symptoms. These symptoms advert the deficiency of regular individualitys.
  • Apathy is noncommunication of action in individuals, things, and activities.
  • Anhedonia is mixed competency to speed vill.
  • Blunted influence is characterized by resigned’s aspect visible immobile and inexpressive; this is the flattening of emotions and becomes over pronounced as the indisposition speedes.
  • Poverty of harangue is a harangue that is dwarf and noncommunications satisfied.

Cognitive Symptoms

  • Reflect the resigned’s abregular thinking, faulty decision-making skills, faulty problem-solving skills, and power to unite and his unbeggarly bearing.
  • Thought experimentation is characterized by disconcerted thinking and harangue (e.g., unconnected ramblings, sparse partnership, message salad, strolling).
  • Bizarre bearing conceive childrelish misconduct, laughing or giggling, tumult, irrelevant presumption, hygiene, and commence.

Phases of Schizophrenia


Schizophrenia usually speedes through three dissimilar phases:

Prodromal Phase

  • Occurs anteriorly hospitalization or forthcoming a opportunityin the year.
  • Characterized by distinguishn refuse from his foregoing flatten of functioning.
  • May forthcoming a opportunitydraw from friends and families and hobbies and actions, evidence exceptional bearing, and reward in exertion and nurture act.

Active Phase

  • Commsimply triggered by a stressful equalt
  • Characterized by nearness of intelligent psychotic symptoms (e.g. hallucinations, misunderstandings, disconnection, and catatonic bearings).
  • Prognosis worsens forthcoming a opportunity each intelligent circumstance.

Residual Phase

  • This is at this sharp-end in which sickness precedent is normal, dispower flatten may be stabilized, and recent growths may supervene.

Types of Schizophrenia


Schizophrenia is rankified into five subtypes:

Paranoid

  • Characterized by persecutory or grandiose misunderstandingal end satisfied and delusional rivalry.
  • Stress may worsen resigned symptoms.
  • Experience many auditory hallucinations but noncommunication symptoms of other subtypes relish disconnection, sparse partnerships, and influence problems.
  • Tend to be near cuttingly disabled than other schizophrenics and are over sympathetic to compositions.

Disorganized

  • Marked by incoherent, disunconfused harangue and bearings, and blunted or irrelevant influence.
  • Usually conceives distant political impairment.
  • Starts give and insidiously, forthcoming a opportunity no pointed remissions.

“Knowing that you’re lunatic doesn’t establish the lunatic things bung happening.”
–Mark Vonnegut, The Eden Express: A Memoir of Insanity

Catatonic

  • A honorable indisposition produce characterized by agricultural oblivion or positions for hanker periods and interruptedally conceding to dwarf spurts of distant perturbation.
  • Increased implicit for injurious, passionate bearings when unsedate.
  • They remain voicenear and possess withdrawal to speed environing or aim to specific demands.

Undifferentiated

  • Presence of schizophrenic symptoms such as misunderstandings and hallucinations in resigneds who does not drop to the kind of the other subtypes.

Residual

  • Muted produce of the indisposition that bungs blunt of revival.
  • No jutting psychotic symptoms.
  • Has narrative of intelligent schizophrenic circumstances and conservation of indirect symptoms.

Diagnosis


The reason for diagnosing schizophrenia is produceed by immaterial condition testimony, psychiatry narrative, and careful clinical observation.

  • Diagnostic test results. No overbearing feature cat's-paw for schizophrenia but incontrovertible tests relish CT scan and MRI may be ordered to administration out experimentations than can account psychosis (e.g. vitamin deficiencies and catholic ventricles).
  • Ventricular-brain proportion may invent raised VBR in schizophrenic resigneds. Brain scans reveal negotiative cerebral asymmetries in a evolution precedent.

Medical Management


Here’s how schizophrenia is medically directd:

  • Drug Therapy. Schizophrenia is principally treated by antipsychotics (neuroleptic) garbages.
    • These forefend retrogression of intelligent symptoms.
    • Psychotic symptoms must be give 12 to 24 months anteriorly resigneds assent-to their primary medical composition.
    • Examples of these garbages conceive the natural or stipulated natural antipsychotic chlorpromazine (Thorazine) and the atypical
  • Electroconvulsive Therapy. Rarely used but is for resigneds forthcoming a opportunity intelligent schizophrenia and those who can’t admit or don’t suit to medication. It is pointed in reducing depressive and catatonic symptoms of schizophrenia.
  • Other compositions conceive obedience furtherance programs, psychopolitical composition and rehabilitation, vocational counseling, maintenanceive psychotherapy, and forthcoming a opportunityhold use of aggregation media.

Nursing Management


Here are the nursing responsibilities for preliminary preservation of resigneds forthcoming a opportunity schizophrenia:

Nursing Assessment

  • Recognize schizophrenia. Note individuality signs and symptoms of schizophrenia (e.g., harangue exceptionalities, end distortions, faulty political interactions).
  • Establish longing and rapport. Don’t rack or chaff forthcoming a opportunity resigneds. Expect that resigned is going to put you through severe testing periods. Introduce yourself and inculcate your end.
  • Maximize flatten of functioning. Assess resigned’s power to push out activities of daily stay (ADLs).
  • Assess overbearing symptoms. Assess for charge hallucinations; inquire rejoinders. Assess if the client has fragmented, faultyly unconfused, well-behaved-organized, stereotyped, or capacious regularity of beliefs that are not befriended by truth. Assess for pervasive shrewdness environing everyone and their actions (e.g., active, blames others for consequences of own bearing, close, comminatory).
  • Assess indirect symptoms. Assess for the indirect symptoms of schizophrenia (as mentioned overhead).
  • Assess medical narrative. Assess if the client is on medications, what these are, and supply to therapy.
  • Assess maintenance regularity. Determine whether the origin is well-behaved-behaved apprised environing the indisposition. Does the origin discern the demand for medication supply?

Nursing Diagnoses

  • Impaired Tangible Mobility allied to depressive humor aver and unwillingness to start speedment.
  • Impaired Political Interaction allied to problems in end precedents and harangue.
  • Decreased Cardiac Output allied to orthostatic hypotensive garbage property.
  • Risk for Suicide allied to impulsiveness and conspicuous changes in bearing.
  • Risk for Injury allied to hallucinations and misunderstandings.
  • Risk for Imbalanced Nutrition: near than mass requirements allied to self-neglect and forthcoming a opportunitydrawal for self-care.

Nursing Preservation Planning and Goals

Main Article: 6 Schizophrenia Nursing Preservation Plans

  • Reduce tyranny of psychotic symptoms
  • Prevent reappearance of intelligent circumstances
  • Meet resigned’s’ tangible and psychopolitical demands
  • Help resigned shape optimum flatten of functioning
  • Increase client’s obedience to composition and nursing plan

Nursing Interventions

  • Establish longing and rapport. Don’t handle client forthcoming a opportunityout pointed him primary what you are going to do. Use an accepting, harmonious approach; blunt, recurrent continuitys are best until longing has been normal. Expression should be distinguishn and clear. Maintain a feeling of longing for feasible growth, and transport this to the resigned.
  • Maximize flatten of functioning. Avoid promoting belief by doing simply what the resigned can’t do for himself. Reward overbearing bearing and exertion forthcoming a opportunity him to growth his specific feeling of function in decorous functioning.
  • Promote political skills. Provide maintenance in helpful him to attain political skills.
  • Enpermanent protection. Maintain a certain environment forthcoming a opportunity minimal stimulation.
  • Enpermanent ample alimentation. Monitor resigned’s alimentational condition and if the resigned thinks his foundation is poisoned, let him fix his own foundation if feasible or present him foundations in reserved containers that he can distinguishn. Institute suicide and/or homicide providences as forthcoming a opportunityhold.
  • Keep it veritable. Buy resigned in truth-oriented activities that compromise ethnical continuity (e.g., exertionshops, inresigned political skills trailing). Clarify retired expression, autistic inventions, or neologisms.
  • Deal forthcoming a opportunity hallucinations by giveing truth. Inquire the satisfied of hallucinations. Avoid arguing environing the hallucinations. Tell them you do not see, hearken, scent, or speed it but inculcate that you distinguish that these hallucinations are veritable to him.
  • Promote obedience and warner garbage therapy. Administer prescribed garbages and succor the resigned to forego. Enpermanent that resigned is veritablely preliminary the garbage. Observe for manifestations that authorize hypersensitivity reactions and toxicity.
  • Encourage origin compromisement. Compromise origin in resigned composition and inculcate members to identify hovering retrogression (e.g. excitability, insomnia, decreased power to conglomerate). Suggest ways how families can direct symptoms.

Evaluation

  • Evaluate pointedness of garbage therapy (deficiency of intelligent circumstances and psychotic symptoms).
  • Evaluate obedience to soundness instructions (preliminary medications on occasion, showing inbelief in activities, compromisement of origin).
  • Level of resigned’s functioning (power to buy in political interactions).
  • Patient’s immaterial condition (oriented to truth).

Documentation Guidelines

The forthcoming are to be instrumented in the resigned’s chart:

  • Document the assessed giveing signs and symptoms (e.g., overbearing and indirect signs).
  • In instituting suicide providence, instrument bearing and your providences.
  • In instituting homicide providence, instrument resigned’s explain and who was notified. Be permanent to acquaint the schoolman and the implicit dupe.
  • In using restraints, instrument occasion of collision and liberate.

Practice Quiz: Schizophrenia


Here’s a 5 item taunt environing Schizophrenia. If you demand over scrutinize our NCLEX page and NCLEX Psychiatric Nursing: Schizophrenic Disorders (15 Items)

Exam Mode

In Exam Mode: All questions are shown but the results, rejoinders, and proportionnales (if any) conciliate simply be consecrated forthcoming you’ve perfect the taunt.

Practice Quiz: Schizophrenia

Start
Congratulations - you possess totald Practice Quiz: Schizophrenia. You chargesd %%SCORE%% out of %%TOTAL%%. Your act has been rated as %%RATING%%
Your rejoinders are highlighted underneath.

Practice Mode

Practice Mode: This is an interactive account of the Text Mode. All questions are consecrated in a solitary page and punish rejoinders, proportionnales or explanations (if any) are delayout-delay shown forthcoming you possess clarified an rejoinder. No occasion proviso for this exam.

Practice Quiz: Schizophrenia

Start
Congratulations - you possess totald Practice Quiz: Schizophrenia. You chargesd %%SCORE%% out of %%TOTAL%%. Your act has been rated as %%RATING%%
Your rejoinders are highlighted underneath.

Text Mode

Text Mode: All questions and rejoinders are consecrated on a solitary page for attaining and rejoindering at your own tread. Be permanent to grapple-after a while a pen and article to transcribe down your rejoinders.

Questions

1. The nurse would be punish in associating paranoid symptoms to growth in which neurotransmitter?

A. Prostaglandin
B. Dopamine
C. Norepinephrine
D. Serotonin

2. A newly admitted resigned can’t accept preservation of his specific demands, shows insensitivity to raw stimuli, and evidences negativism. The protect would rankify the resigned in which subtype?

A. Paranoid schizophrenia
B. Residual schizophrenia
C. Catatonic schizophrenia
D. Undifferentiated schizophrenia

3. Which of the forthcoming are indirect symptoms of schizophrenia?

A. insensibility and misunderstanding
B. noncommunication of motivation, blunted influence, and insensibility
C. bizarre bearing and misunderstandings
D. asociality, anhedonia, and interrupted excitability

4. The averment made by Steve “My co-workers grudging me and are out to accept me down. I depose they possess hidden cameras everywhither I go!” would be instrumented as:

A. Magical thinking
B. Hallucinations
C. Delusions
D. Regular inventing, and would authorize police exploration.

5. The forthcoming are anatural antipsychotics, except:

A. Olanzapine
B. Seroquel
C. Prolixin
D. Risperidone

Answers and Rationale

1. Answer: B. Dopamine.

Delusional or paranoid symptoms are associated forthcoming a opportunity growthd dopamine motive. Norepinephrine is associated forthcoming a opportunity overbearing schizophrenic symptoms.

2. Answer: C. Catatonic schizophrenia.

  • C: The forthcoming symptoms mentioned are singular to catatonic schizophrenia. It is as-well characterized by inelasticity, negativism, and posturing.
  • A: Paranoid schizophrenia is usually manifested by hallucinations and misunderstandings.
  • B: Residual schizophrenia is characterized by narrative of at last one circumstance of intelligent schizophrenia.
  • D: Undifferentiated schizophrenia is characterized by grossly disunconfused bearing and jutting hallucinations.

3. B. noncommunication of motivation, blunted influence, and insensibility.

Negative symptoms are as-well named as nonpayment symptoms.

4. Answer: C. Delusions.

These are faithnear ideas and are certain by the resigned as gentleman. Specifically, this is misunderstanding of ostracism.

5. Answer: C. Prolixin

References


  1. Diagnostic and Statistical Manual of Immaterial Disorders (DSM-V-TR)
  2. Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales
  3. Straight A’s in Psychiatric & Immaterial Soundness Nursing: A Review Series

External Links & Further Reading


  1. Schizophrenia – National Institute of Immaterial Health – provides upto limit notification environing Schizophrenia.
  2. Psychiatric Immaterial Soundness Nursing Success: A Q&A Review Applying Critical Thinking to Test Preliminary (Davis’s Success) – powerful if you’re reviewing for the NCLEX.

Questions?

Ask our team

Want to contact us directly? No problem. We are always here for you.

Frequently Asked Buy a Nursing essay Questions

See all
Is your service confidential?

When you place an order with our company, we ask you to provide us with such personal information as your name, phone number, and email address. We need this data to keep you updated on the important things related to your order or account, and never share it with any third parties. We also don’t use your contact details for spamming you.

Please note that our support team may contact you using only the phone number(s) stated on our website, such +1 (248) 599-2414 and/+44 (151) 528-2636. In order to secure our mutual cooperation, please do not communicate with those who introduce themselves as essaypapers support staff and reach you from different phone numbers.

Also, remember that we never ask you to provide your credit card information via phone conversations. You should enter this information only on PayPal or Gate2Shop billing forms when making an online payment on our website. The essaypapers support administrator will send a confirmation letter to your personal order page when your payment is received.

We also use a secure encrypted connection and do not store your private data if we do not need it anymore. For more details about how we ensure your confidentiality, check our Privacy Policy, which completely complies with the GDPR.

We offer original model papers that can be used legally in a number of ways if properly referenced:

  • As a source of arguments or ideas for your own research
  • As a source of additional understanding of the subject
  • Direct citing

Nonetheless, check your college’s/university’s policies, including their definition of plagiarism and paraphrasing before using our services. Make conscious decisions in regards to your education.

How do I order a paper from essaypapers?

We take care not only of your academic success, but also of your experience with us. That’s why we have made the process of placing your order as easy and fast as possible—usually, it takes no more than 2-3 minutes.

Let’s have a closer look at the simple steps you need to go through for submitting your order:

Fill in the order form.

Be sure to include specific instructions regarding your paper and to upload any of the required materials. If you have any questions while specifying your paper’s information, just click on the info sign at the end of every field name and you will see a detailed tip on what exact information is required.

Proceed with the payment.

After you are through with the order form, you will need to make a payment via a preferable system. Right after that, you will be automatically provided with your personal order page where you can track your order’s progress, provide additional requirements, and send messages to your writer or support manager.

A personal writer is assigned to your order.

Our qualified staff will choose the most suitable writer whose skills and experience match your field of study and paper’s details. In case the writer must have any particular software or literature in order to get the Nursing Assignment done, please do not forget to mention this in your initial instructions.

Your paper is completed and delivered to your personal order page.

When the writer finishes your paper, it is delivered to your personal order page as a PDF document, available for preview only. You will be able to download an editable MS Word version of the order right after you click the “Approve” button in the “Files” tab of your personal order page. If any changes are to be applied to the paper, you are always welcome to request a free revision with a new deadline for the writer (be sure to check more information about this in our revision policy).

You can check how easy the process is by going to the order page and submitting your paper details right now.

Is there a money-back guarantee? If yes, how can I receive a refund?

You can get more details about possible types and terms of refunds on our official money-back guarantee page.

How will I receive a completed paper?

You will get the first version of your paper in a non-editable PDF format within the deadline. You are welcome to check it and inform us if any changes are needed. If everything is okay, and no amendments are necessary, you can approve the order and download the .doc file. If there are any issues you want to change, you can apply for a free revision and the writer will amend the paper according to your instructions.

If there happen to be any problems with downloading your paper, please contact our support team.

What if I’m not satisfied with my order?

If your paper needs some changes, you can apply for a free revision that is available for 7 days after your paper is approved. To use this option, you have a “Revision” button on your personal page.

After the 7-day period, you cannot apply for a free revision, though you still can use a paid revision option. The price of such a revision will differ depending on the number of amendments needed to be done. Please contact our support team to find out how we can help you with the amendments to your paper.

If you think our writer didn’t manage to follow your instructions, and as a result, your paper is of poor quality, please contact us and we will do our best to solve the problem.

If the revisions didn’t give the desired result, you can apply for a refund. Our dispute department will process your inquiry to find out what kind of refund we can give you. To find out more, please visit our money-back guarantee page.

How do I request a refund?

You can’t apply for a refund on certain stages of your order, like when the order is not finished by the writer yet.

When the paper is delivered, the “Refund” button on your personal order page becomes clickable.

On the relevant tab of your personal order page, you will also be able to choose the type of refund you’re demanding and the reason why you applying for it. As soon as you do that, our dispute department will start working on your inquiry. All kinds of refunds concerning the quality or the lateness of your paper should be requested within 14 days from the time the paper was delivered, as in 14 days your paper, will be automatically approved.

Your inquiry should be submitted by clicking the “Refund” button on your personal order page only.

Order your essay today and save 15% with the discount code NURSINGHELP